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�s <br /> NO. d 3 CHEMTECH ANALYTICAL LABORATORIES (916)635-3952 CHAIN OF CUSTODY-LOG-IN, <br /> A <br /> PROTECT NAME A Y I !RESULTS VERBAL: <br /> cc <br /> w=� <br /> u z G" Yes ❑ No ❑ <br /> PAGE CLIENT CHAIN OF CUSTODY# 0 � Ai o DATE BY <br /> a y <br /> OF z O Q�� �c`P2`r �" TO WHOM: <br /> Y TECH SAMPLE E.D. DATE TIME SAMPLED SLED MATRIX O �y� �O Q� 2� PHONI <br /> I.D.N <br /> COMMENTS: <br /> S D <br /> `1 <br /> ;j-1D <br /> dm Los- <br /> - l <br /> �I Z444 <br /> aAlh�a <br /> I <br /> PEA�.. <br /> l3 9! <br /> 1 <br /> Relinquished by:1s4+ahwa1 DateMme Received by:Isquiael <br /> i <br /> Relinquished by:(sip&wml Dal er,ime Received by:isivaive) <br /> Re{i fished by:is y+wecl , Dalelfilne Received for Laboratory by: <br /> i <br /> ,� ., <br />